ࡱ>  5bjbjSS j11* 44( $PJldndnfnfnfnfnfnfn$pUshnnn|dndnHg mဵeqhi<Pnn0nissxmsmnnns4 T: Community Mental Health Workload Guidelines Year One January - JuneJuly-DecemberClinical / Case ManagementTargetsGuidelinesTargetsYear TotalNo direct consumer contact of any nature prior to the first performance appraisal First direct consumer contact occurs only after successfully completing first performance appraisal. Performance appraisal based on punctuality, confidentiality, professionalism and accountability 15 Intakes 5 Full Assessments 3 Mid Term Reviews 3 Discharges No initiation or active contact with consumers of any sort prior to the first performance appraisal Sit in and observation of least 5 direct consumer contacts per week whilst in workplace Level of participation is set by Trainee and Senior Clinician by agreement 15 Intakes 5 Full Assessments 3 Mid Term Reviews 3 Discharges 30 10 6 6 Health PromotionTeam Presentation ReportActivityTeam Presentation ReportDevelop a Community Profile 1 Community Profile 1 Care Planning ActivityParticipate in 1 community development activity Participate in 1 health promotion activity (eg, Drug Action Week, Womens Health Day) 1 Care Planning Activity 1 community development project report 1 health promotion report Team CitizenshipTeam Presentation ReportActivityTeam Presentation ReportAttend team meetings Attend interagency meetings Complete SCI-MHOAT, MATISSE Complete time and leave sheets Attend cultural awareness training Attend mandatory trainingProvide a written critique of cultural awareness training Description of local innovative responses to substance abuse Attend interagency meetings 1 Genogram Discussion of impact of generational grief Description of local Primary Health Care ServiceWorkplace SupervisionWeekly meetings with Supervisor / Preceptor Monthly meetings with Clinical Leader Aboriginal Mental Health Monthly meeting for clinical supervision Quarterly meetings with Team Leader Weekly meetings with Supervisor / Preceptor Monthly meetings with Clinical Leader Aboriginal Mental Health Monthly meeting for clinical supervision Quarterly meetings with Team LeaderNo Clinical Placement in Semester 1Clinical Placements Semester 22 weeks in each recommended placement site for Healing Our People (Counselling 1) and Introduction to Primary Health Care: Mental Health 1 Example Community Mental Health Workload Guidelines Year Two January- JuneJuly-DecemberClinical/ Case ManagementContactsAssessment / TreatmentCase Study Report Clinical/ Case ManagementContactsAssessment TreatmentCase Study Report Year TotalLimited practice under observation Non-directive interviewing and questioning 4 case presentations with help from Supervisor25 Intakes 10 Full Assessment 10 Mid Term Reviews 10 Discharges 2 Depression 2 Anxiety 2 Substance Abuse 2 Crisis Management 1 Depression 1 Anxiety 1 Substance Abuse 1 Crisis Management Practice under observation Supportive counselling under close supervision with selected cases (low acuity/low complexity) 25 Intakes 10 Full Assessments 10 Mid Term Reviews 10 Discharges 2 Depression 2 Anxiety 2 Substance Abuse 2 Crisis Management 1 Depression 1 Anxiety 1 Substance Abuse 1 Crisis Management 50 20 20 20 Health PromotionTeam Presentation ReportActivityTeam Presentation ReportAssess local Aboriginal mental health needs Participate actively in 2 community development activities Evaluate 1 community development activity Assessment of mental health needs of local Aboriginal community Community development case report Participate in 1 health promotion activity Participate actively in 1 community development activity Evaluate 1 community development activity 1 Care Planning Activity1 evaluation report of community development activity 1 Care Planning ActivityTeam CitizenshipTeam Presentation ReportActivityTeam Presentation ReportAttend team meetings Attend interagency meetings Complete SCI-MHOAT, MATISSE Complete time and leave sheets Healing processes, individual and community Managing a crisis situation: cultural considerations Audit of support groups for consumers and carers Attend a carer or consumer support group meeting Provide written critique of management of a crisis interventionEthical issues in managing people with a mental illness Mental Health Act - importance and use Workplace SupervisionWeekly meetings with Supervisor / Preceptor Monthly meetings with Clinical Leader Aboriginal Mental Health Monthly meeting for clinical supervision Six monthly meetings with Team Leader Weekly meetings with Supervisor / Preceptor Monthly meetings with Clinical Leader Aboriginal Mental Health Monthly meeting for clinical supervision Six monthly meetings with Team Leader Clinical Placement Semester 1Clinical Placement Semester 22 weeks in recommended placement site for Crisis Management2 weeks in recommended placement site for Healing Our Spirit: Grief, Loss and Trauma 4 weeks in recommended placement site for Assessment, Diagnosis and Management in Psychiatry Example Community Mental Health Workload Guidelines Year Three January- JuneJuly-DecemberClinical/ Case ManagementContactsAssessment / TreatmentCase Study Report  Clinical/ Case ManagementContactsAssessment/ TreatmentCase Study ReportYear TotalTrainees are expected to take lead on intake under observation Trainees conduct ongoing therapy under observation Supportive counselling under close supervision25 Intakes 10Assessments 10 Mid Term Reviews 10 Discharges 2 Child Protection 2 Psychoses 2 Domestic Violence 2 Sexual Assault 2 CAMH2 Child Protection 2 Psychoses 2 Domestic Violence 2 Sexual Assault 2 CAMHTrainees expected to take lead in all phases of therapy under observation Trainees to conduct full assessment under observation Trainees to conduct intake independently under close supervision Ongoing therapy of non-acute cases under close supervision Supportive counselling under supervision25 Intakes 10Assessments 10 Mid Term Reviews 10 Discharges 2 Substance abuse 2 Psychoses 2 Depression 2 Anxiety 2 Substance abuse 2 Psychoses 2 Depression 2 Anxiety 50 20 20 20 Health PromotionReportsActivityReportsParticipate in 2 community development activities Develop 1 short-term community education activity. implement, facilitate and evaluate Present progress report of community education activity Participate in 1 community development activity Participate in 1 health promotion activity 1 Care Planning ActivityProduction of full report of community education activity. This includes statement of issue, background, scope of project and evaluation 1 Care Planning Activity Team CitizenshipTeam Presentation ReportActivityTeam Presentation ReportAttend team meetings Attend interagency meetings Complete SCI-MHOAT, MATISSE Complete time and leave sheetsResearch proposal Research project Audit of health and community services for familiesResearch Project Conference Paper Report on health and community services for families Workplace SupervisionWeekly meetings with Supervisor / Preceptor Monthly meetings with Clinical Leader Aboriginal Mental Health Monthly meeting for clinical supervision Six monthly meetings with Team LeaderWeekly meetings with Supervisor / Preceptor Monthly meetings with Clinical Leader Aboriginal Mental Health Monthly meeting for clinical supervision Six monthly meetings with Team LeaderClinical Placement Semester 1Clinical Placement Semester 22 weeks in recommended placement site for Research in Mental Health2 weeks in recommended placement site for Mental Health and Substance Use 2 weeks in recommended placement site for Professional Issues2 weeks in recommended placement site for Working with Families Development of clinical skills and supervision* January - JuneJuly-DecemberYear OneFor the first three months Trainees are not expected to have any direct consumer contact of any nature First direct consumer contact can occur after successfully completing the first performance appraisal Performance appraisal based on punctuality, confidentiality, professionalism and accountabilityTrainees at this stage are not expected to initiate or have any active contact with consumers of any sort Trainees are required to sit in and observe direct consumer contacts Trainee and clinician set level of participation by agreementYear TwoTrainees to only engage in limited practice under observation Non-directive interviewing and questioning Case study. Joint preparation, Trainee to prepare PowerPoint. Joint presentation and discussion Trainees to practice under observation Supportive counselling under close supervision with selected cases (low acuity/low complexity) Case study. Joint preparation, Trainee to prepare PowerPoint. Trainee to present and discuss with strong support Year ThreeTrainees expected to take lead on intake under observation Trainees to conduct ongoing therapy under observation Supportive counselling under close supervision Case study. Joint preparation, Trainee to prepare PowerPoint. Trainees present and discuss, Supervisor back up support Trainees expected to take lead in all phases of therapy under observation Trainees to conduct full assessment under observation Trainees to conduct intake independently under close supervision Ongoing therapy of non-acute cases under close supervision Supportive counselling under supervision Case study. Trainee preparation, Trainees to prepare PowerPoint. Supervisor review PowerPoint. Trainee to present and discuss with minimal support  Notes: At all times the quality of care and safety of consumers are paramount. The Supervisor has responsibility for ensuring this. Definitions: Sit in means that Trainee is physically present with Supervisor and consumer during session. Trainees are not to initiate any contact with consumer unless invited to do so by consumer and Supervisor. Under observation means Supervisor is to be physically present with Trainee during all aspects of direct consumer contact. Close supervision means Supervisor is in immediate vicinity and is available to be physically present with Trainee and consumer within 15 minutes. Under supervision means Supervisor monitors progress and case via normal supervision process, case notes etc. Non-directive interviewing and questioning use the principles of active listening to help understand a consumers issues/problems. Open questions are asked to encourage the consumer to explore these issues/problems and to tell his/her story. Consumers choose the direction and content of the interview. No advice or suggestions are given. Supportive counselling invites the consumer to consider a focus area/issue during the session. More direction is given with regard to the content of the interview. No advice or suggestions are given; rather the consumer is supported to achieve a level of understanding of the issue.  Originally developed by Russell Roberts, GWAHS Director Mental Health and Drug and Verina Crawford, Alcohol and Clinical Leader Aboriginal Mental Health Remote and Mitchell Clusters in 2006; modified 2010 with reference to revised Djirruwang Program curriculum.  Joint preparation, Trainee to prepare PowerPoint. Joint presentation and discussion  Joint preparation, Trainee to prepare PowerPoint. Trainee to present and discuss with strong support  Joint preparation, Trainees to prepare PowerPoint. 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